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• CITY OF ORONO � 0�0 1 1 4 0 * <br /> 2750 KELLEY PARKWAY DATE ISSUED: 1U08/2012 <br /> � ORONO, MN 55356- <br /> (952) 249-4600 FAX: (952) 249-4616 <br /> ADDRESS : 3650 CASCO AVE <br /> PIN : 20-117-23-31-0043 <br /> LEGAL DESC : REG. LAND SURVEY NO. 1147 <br /> : LOT 000 BLOCK 000 <br /> PERMIT TYPE : MECHANICAL(>$500) <br /> PROPERTY TYPE : RESIDENT[AL <br /> CONSTRUCTIOI�T TYPE : MECHANICAL-MULTIPLE <br /> VALUATIOIV : $ 5,000.00 <br /> NOTE: 2 I3RYANT NAT GAS FURNACES <br /> APPLICANT MECHANICAL 62.50 <br /> WENZEL HVAC STATE SURCHARGE MECH(VALUATION) 2.50 <br /> 4131 OLD SIBLEY MEMORIAL HWY <br /> EAGAN, MN 55122 MAIL-IN FEE 2.00 <br /> (651)894-9898 TOTAL 67.00 <br /> OWNER <br /> GERSOVITZ, MR. & MRS. <br /> 3650 CASCO AVE <br /> WAYZATA, MN 55391- <br /> ACREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein."I'his pennit will <br /> expire and become null and void iY construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause.� <br /> �� �� � � / / <br /> Applicant Permitee Signature Date Issued By gnature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A E. <br />